Exam #1 Varcolis Ch. 11, 15 ATI 11-13, 21 And 22 Pharm Pgs. 51-66 Flashcards

Question

MAOIs contraindications

Answer 1

Cardiovascular disease HTN, CHF Liver disease Recurrent headaches Recent surgery

Answer 2

Depression Smoking cessation Prevention of seasonal pattern depression Weight loss

Answer 3

Appetite suppression Seizures

Answer 4

Anesthetic: can be given to aggressive pts Postpartum depression Takes away suicidal ideation

Answer 5

Increased BP, HR Dissociation (high out of body experience)

Answer 6

For mild depression

Answer 7

Interact with all antidepressants - potentially fatal serotonin syndrome can result if combined with SSRIs

Answer 8

Major depressive disorder Schizophrenia Acute Mania

Answer 9

A last resort Inducing seizures

Answer 10

Atropine: decrease secretions so they don’t aspirate Propofol: puts them to sleep Succinylcholine: stops jerking movement

Answer 11

A feeling of uneasiness, uncertainty, or dread Results from a real or perceived threat Source of threat is unknown or unrecognized.

Answer 12

Reaction to a specific danger You see the threat

Answer 13

Can motivate you to do things

Answer 14

Example: anxious right before getting surgery

Answer 15

Emotional response that is out of proportion to the threat Emotional response can continue even after the threat is resolved.

Answer 16

Mild Moderate Severe Panic

Answer 17

Ability to learn: good Physical characteristics -restless -mild irritability -nail biting/finger tapping -shaking their leg

Answer 18

Ability to learn: altered but still possible Physical characteristics -tension -pounding heart -increased. Respiratory rate and heart rate -somatic symptoms: using the restroom a lot -voice tremors

Answer 19

Overly focused Scattered details Ability to learn: unable Physical characteristics: -automatic behavior -severe somatic symptoms (chest pain) -hyperventilation -sense of dread

Answer 20

Ability to learn: unable Characteristics: -erratic and impulsive behavior (ex: may take off all their clothes) -hallucinations -pass out -dissociate -freeze

Answer 21

Recurrent and unexpected panic attacks **monitor for suicide, don’t leave pt alone** Benzodiazepines: help during panic attacks Anticipatory anxiety: worry a panic attack is going to happen Symptoms: Nausea, hot flashes

Answer 22

Can last between 1-30 min Sudden onset of fear or apprehension not always in response to an acute stressor

Answer 23

Provoked by exposure to a social situation or a performance situation Fear is being evaluated or rejected: embarrassment or humiliation

Answer 24

Fear of being in places where help might not be available **escape might be difficult or embarrasing** Ex: a grocery store, a park, fear of crowd Treatment therapy: SSRIs

Answer 25

Excessive anxiety and worry about a number or events and activities Constant “what ifs” Treatment: combo of meds and therapy

Answer 26

Obsessions: uncontrollable, recurring thoughts Compulsions: ritualistic behaviors Ex: washing hands 3 times *important to allow them to carry out their rituals, never interrupt*

Answer 27

Imagined “defective body part” Ex: constantly looking at themselves in the mirror, grooming themselves

Answer 28

Excessive collecting of items Persistent difficulty in parting with possessions

Answer 29

Part of psychotherapy Commit to changing their behavior

Answer 30

Focusing on different parts of the body Ex: yoga

Answer 31

Aversion therapy: focuses on pain, given an undesirable stimulus ex: the pedophile example Flooding: throwing someone in a situation with the considered threat Systematic desensitization Exposure and response prevention Modeling: holding a cricket to show there is no harm Thought stopping

Answer 32

Deep breathing Guided imagery Progressive relaxation Autogenic training Self-hypnosis Biofeedback-assisted relaxation

Answer 33

SSRIs SNRIs - Long term treatments -start with low doses -prioritize suicide risk

Answer 34

Lorazepam Clonazepam Alprazolam

Answer 35

Short term treatment Tolerance develops Withdrawal symptoms Addiction — sedation —used for the treatment of relief of anxiety and reduce seizures

Answer 36

Amnesia: memory loss — avoid driving — impaired judgment Long term use can lead to dementia and respiratory depression

Answer 37

Flumazenil

Answer 38

Diphenhydramine Hydroxyzine

Answer 39

Short term use only Good for those with substance use disorder Sedating: therefore helping with anxiety and tension

Answer 40

Non-additive Long term treatment 2-4 weeks to be effective **Only for long term treatment of anxiety** Can cause orthostatic hypotension, lightheadedness, and dizziness

Answer 41

Elevates mood and feeling of relaxation Used for the treatment of anxiety and insomnia

Answer 42

Best for sleep Treatment of anxiety and relieve insomnia

Answer 43

**most effective** Boost mood and treat sleep

Answer 44

Treatment of depression, anxiety and insomnia